|
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln
|
$4,950.80 |
$4,950.80 |
$9,031.44 |
$3,723.60
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,028.34 |
$9,028.34 |
$14,951.87 |
$14,951.87
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$10.95 |
$10.95 |
$73.32 |
$39.33
|
|
Tert gene targeted seq alys
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$335.00
|
|
Testicular imaging w/vasc flow
|
$449.57 |
$449.57 |
$449.57 |
$842.56
|
|
Test pathogen(s) for platelets reference
|
$29.90 |
$29.90 |
$29.90 |
$70.00
|
|
Test stress cardiovascular tracing only
|
$818.10 |
$818.10 |
$1,251.88 |
$953.40
|
|
Tetanus immune globulin inj
|
$1,172.11 |
$1,285.36 |
$1,285.36 |
$1,285.36
|
|
Tgsap hl neo 5-50 rna alys
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$879.20
|
|
Tgsap so/hl 51/< rna alys
|
$5,025.00 |
$5,025.00 |
$5,025.00 |
$4,563.00
|
|
Tgsap so neo 5-50 rna alys
|
$5,536.50 |
$5,536.50 |
$5,536.50 |
$1,019.60
|
|
Theophylline therapeutic drug level
|
$141.91 |
$276.75 |
$276.75 |
$108.00
|
|
Therapeutic procd strg endur
|
$113.70 |
$113.70 |
$143.36 |
$85.68
|
|
Therapy activity per session >= 45 minutes
|
$158.40 |
$158.40 |
$158.40 |
$191.50
|
|
Therapy Activity Training (each 15 minutes)
|
$117.45 |
$117.45 |
$122.76 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$123.90 |
$123.90 |
$125.24 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$67.10 |
$67.10 |
$86.40 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$64.10 |
$64.10 |
$90.00 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$232.32 |
$232.32 |
$232.32 |
$538.88
|
|
Ther/proph/diag inj ia
|
$186.15 |
$186.15 |
$247.33 |
$247.33
|
|
Ther radiology tx plng cplx
|
$269.23 |
$269.23 |
$269.23 |
$332.00
|
|
Ther radiology tx plng intrm
|
$213.06 |
$213.06 |
$213.06 |
$224.00
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$13.62 |
$13.62 |
$35.82 |
$25.54
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$290.44 |
$351.00 |
$351.00 |
$314.50
|
|
Thigh/wght bear lacer molded
|
$873.03 |
$873.03 |
$873.03 |
$873.03
|
|
Thigh/wght bear lacer non-mo
|
$464.92 |
$464.92 |
$464.92 |
$464.92
|
|
Thiotepa injection
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,485.00
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$938.70 |
$938.70 |
$1,410.82 |
$1,733.65
|
|
Thoracotomy w/expl
|
$2,045.17 |
$2,045.17 |
$2,045.17 |
$2,045.17
|
|
Thoracotomy with cardiac massage
|
$3,459.68 |
$3,459.68 |
$3,459.68 |
$2,138.76
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,570.65 |
$1,570.65 |
$1,875.14 |
$1,684.80
|
|
Thrombectmy crnry perq mechanical
|
$6,006.73 |
$6,006.73 |
$6,006.73 |
$3,836.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$9,282.24 |
$9,282.24 |
$9,720.45 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$11,787.75 |
$11,787.75 |
$19,636.34 |
$14,465.94
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$17,867.40 |
$17,867.40 |
$31,119.42 |
$21,413.60
|
|
Thrombin time
|
$72.22 |
$115.95 |
$115.95 |
$54.18
|
|
Thromboendarterectomy common femoral
|
$3,315.64 |
$3,315.64 |
$3,315.64 |
$3,987.20
|
|
Thromboendarterectomy including patch graft if preformed;
|
$5,994.11 |
$5,994.11 |
$5,994.11 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$3,529.55 |
$3,529.55 |
$3,529.55 |
$4,585.00
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$85.32 |
$85.32 |
$154.65 |
$61.52
|
|
Thyroglobulin antibody
|
$12.30 |
$12.30 |
$115.79 |
$82.73
|
|
Thyroid imaging
|
$673.01 |
$673.01 |
$696.75 |
$696.75
|
|
Thyroid mets imag whole body
|
$1,132.80 |
$1,132.80 |
$1,724.28 |
$1,524.99
|
|
Thyroid met uptake
|
$398.40 |
$398.40 |
$398.40 |
$407.40
|
|
Thyroid (TSH) Test
|
$171.47 |
$324.00 |
$324.00 |
$112.67
|
|
Thyroid Ultrasound
|
$601.05 |
$601.05 |
$630.55 |
$588.50
|
|
Thyroid uptake measurement
|
$382.95 |
$382.95 |
$680.77 |
$591.25
|
|
Thyrotropin alfa 0.9 mg intramuscular solution
|
$3,914.94 |
$3,914.94 |
$3,914.94 |
$4,152.21
|
|
Thyroxine binding globulin (tbg)
|
$103.42 |
$119.25 |
$119.25 |
$64.51
|
|
Tibial length sock fx or equ
|
$228.69 |
$228.69 |
$228.69 |
$88.92
|
|
Tib/per revasc stent & ather 37231
|
$22,970.40 |
$22,970.40 |
$33,770.88 |
$21,249.26
|
|
Tib/per revasc stnt & ather
|
$11,078.70 |
$11,078.70 |
$11,078.70 |
$11,078.70
|
|
Tib/per revasc w/ather add-on 37233
|
$13,263.75 |
$13,263.75 |
$20,598.88 |
$10,165.00
|
|
Tigecycline injection
|
$216.00 |
$216.00 |
$216.00 |
$235.29
|
|
Tilt table study
|
$1,051.80 |
$1,051.80 |
$2,325.16 |
$1,561.82
|
|
Tirofiban 12.5 mg/50 ml
|
$516.15 |
$516.15 |
$516.15 |
$458.85
|
|
Tisagenlecleucel car-pos t
|
$1,382,069.38 |
$1,382,069.38 |
$1,382,069.38 |
$1,780,600.03
|
|
Tis cgen car anomal 1st shnt
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$8,068.54
|
|
Tis cgen car anomal ea addl
|
$6,546.38 |
$6,546.38 |
$6,546.38 |
$6,546.38
|
|
Tisotumab vedotin-tftv 40 mg intravenous solution
|
$12,851.40 |
$12,851.40 |
$12,851.40 |
$13,339.20
|
|
Tissue amnio epifix inj 100mg
|
$35.06 |
$4,201.20 |
$4,201.20 |
$4,201.20
|
|
Tissue culture placenta
|
$585.14 |
$585.14 |
$876.45 |
$440.50
|
|
Tissue culture skin/biopsy
|
$687.36 |
$757.20 |
$757.20 |
$484.00
|
|
Tissue culture tumor
|
$738.00 |
$738.00 |
$772.11 |
$479.50
|
|
Tissue exam koh skin/hair/nails
|
$51.02 |
$51.02 |
$51.30 |
$47.40
|
|
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm
|
$293.82 |
$293.82 |
$304.84 |
$537.50
|
|
Tissue matrix xcm thk 20x30cm -cost per sq cm
|
$19,288.03 |
$19,288.03 |
$19,288.03 |
$830.41
|
|
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm
|
$92.25 |
$92.25 |
$1,403.42 |
$1,403.42
|
|
Tissue transglutaminase iga
|
$36.90 |
$36.90 |
$137.80 |
$44.80
|
|
Tixagev and cilgav inj
|
$180.60 |
$180.60 |
$180.60 |
$241.92
|
|
Tlso 2 piece rigid shell
|
$569.93 |
$569.93 |
$569.93 |
$1,302.50
|
|
Tlso 2 shl symphys-stern cst
|
$1,535.15 |
$2,095.23 |
$2,095.23 |
$1,808.59
|
|
Tlso 3mod sacro-scap pre
|
$2,570.48 |
$2,570.48 |
$2,570.48 |
$2,117.57
|
|
Tlso r fram soft ant pre cst
|
$652.36 |
$801.11 |
$801.11 |
$801.11
|
|
Tlso rigid frame pre subclav
|
$1,193.13 |
$1,193.13 |
$1,461.90 |
$1,382.98
|
|
Tlso rigid lined custom fab
|
$2,547.21 |
$2,831.21 |
$2,831.21 |
$2,831.21
|
|
Tlso rigid lined pre one pie
|
$2,118.31 |
$2,118.31 |
$2,118.31 |
$2,110.02
|
|
Tlso rigid plastic cust fab
|
$2,347.16 |
$5,853.60 |
$5,853.60 |
$2,347.16
|
|
Tlso rigid plastic custom fa
|
$2,788.42 |
$2,788.42 |
$2,788.42 |
$2,788.42
|
|
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr
|
$175.50 |
$175.50 |
$228.45 |
$152.36
|
|
Tobramycin non-comp unit
|
$143.38 |
$143.38 |
$143.38 |
$108.42
|
|
Tobramycin peak therapeutic drug level
|
$171.40 |
$309.90 |
$362.70 |
$119.40
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$2,390.24 |
$5,258.52 |
$5,258.52 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$191.86 |
$313.35 |
$313.35 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$71.40 |
$71.40 |
$71.40 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$66.15 |
$66.15 |
$95.23 |
$74.10
|
|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$507.60 |
$507.60 |
$664.50 |
$316.84
|
|
Torsion ank & half solid sti
|
$292.47 |
$292.47 |
$292.47 |
$291.13
|
|
Torsion straight knee joint
|
$318.65 |
$318.65 |
$318.65 |
$247.25
|
|
Total hysterectomy
|
$4,315.95 |
$4,315.95 |
$4,315.95 |
$3,001.70
|
|
Total tau
|
$600.00 |
$600.00 |
$600.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$176.55 |
$209.10 |
$315.00 |
$91.65
|
|
Toxoplasma antibody igm
|
$162.75 |
$209.10 |
$252.00 |
$88.00
|
|
Tp53 gene full gene sequence
|
$660.00 |
$660.00 |
$660.00 |
$709.80
|
|
Tp53 gene trgt sequence alys
|
$1,086.00 |
$1,086.00 |
$1,828.50 |
$804.00
|
|
Tpmt gene com vrnts
|
$637.50 |
$637.50 |
$637.50 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$5,980.69 |
$5,980.69 |
$5,980.69 |
$7,144.80
|
|
Trabectedin 1 mg intravenous solution
|
$6,827.00 |
$6,827.00 |
$6,827.00 |
$6,684.23
|
|
Trabeculoplasty laser surg
|
$1,387.38 |
$1,387.38 |
$1,387.38 |
$1,180.80
|
|
Tracheobrnchsc thru est trachs incisn
|
$1,437.45 |
$1,437.45 |
$1,926.42 |
$1,420.44
|
